Form I-698 - Application To Adjust Status From Temporary To Permanent Resident (Under Section 245a Of The Ina) Page 4
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9Part 3. Eligibility Standards (continued)
A-
13.
Have you EVER engaged in, conspired to engage in, do you intend to engage in, or have you EVER
Yes
No
solicited membership or funds for, or have you EVER through any means assisted or provided any type of
material support to any person or organization that has EVER engaged or conspired to engage in sabotage,
kidnapping, political assassination, hijacking, or any other form of terrorist activity?
14.
Do you intend to engage in the United States in:
A.
Espionage?
Yes
No
B.
Any activity, a purpose of which, is opposition to, or the control or overthrow of, the Government of
Yes
No
the United States, by force, violence, or other unlawful means?
C.
Any activity to violate or evade any law prohibiting the export from the United States of goods,
Yes
No
technology, or sensitive information?
15. Have you EVER been a member of, or in any way affiliated with, a Communist Party or any other
Yes
No
totalitarian party?
Did you EVER, during the period from March 23, 1933 to May 8, 1945, in association with either the Nazi
16.
Yes
No
Government of Germany or any organization or government associated or allied with the Nazi Government
of Germany, order, incite, assist, or otherwise participate in the persecution of any person because of race,
religion, national origin, or political opinion?
17. Have you EVER claimed to be a United States citizen in writing or any other way?
Yes
No
18.
Have you EVER been deported from the United States, removed from the United States at government
Yes
No
expense, excluded within the past year, or are you NOW, or have you EVER been in exclusion,
deportation, removal, or rescission proceedings?
19.
Are you NOW under a final order of civil penalty for violating section 274C of the Immigration and
Yes
No
Nationality Act (INA) for use of fraudulent documents or have you EVER, by fraud or willful
misrepresentation of a material fact, sought to procure or procured a visa, other documentation, entry into
the United States, or any immigration benefit?
20.
Have you EVER left the United States to avoid being drafted into the U.S. Armed Forces?
Yes
No
21.
Have you EVER been a J nonimmigrant exchange visitor who was subject to the 2-year foreign residence
Yes
No
requirement and have not yet complied with that requirement or obtained a waiver?
22.
Are you NOW withholding custody of a U.S. citizen child outside the United States from a person granted
Yes
No
custody of the child?
23.
Do you plan to practice polygamy in the United States?
Yes
No
24.
Have you EVER ordered, incited, called for, committed, assisted, helped with, or otherwise participated in any of the following:
A.
Acts involving torture or genocide?
Yes
No
B.
Killing any person?
Yes
No
C.
Intentionally and severely injuring any person?
Yes
No
D.
Engaging in any kind of sexual contact or relations with any person who was being forced or
Yes
No
threatened?
E.
Limiting or denying any person's ability to exercise religious beliefs?
Yes
No
25.
Have you EVER:
A.
Served in, been a member of, assisted in, or participated in any military unit, paramilitary unit, police
Yes
No
unit, self-defense unit, vigilante unit, rebel group, guerrilla group, militia, or insurgent organization?
B.
Served in any prison, jail, prison camp, detention facility, labor camp, or any other situation that
Yes
No
involved detaining persons?
Page 4 of 9
Form I-698 03/03/17 Y
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